Optimizing Prehospital CPAP (When CPAP Is the Right Tool)
Joseph Adelman outlines practical CPAP use in acute cardiogenic pulmonary edema and hypoxemic respiratory failure.
Ballistic Missile Strike on a Residential Block: Ventilator-Dependent Patient Extrication in an Active Hazard Environment
A ballistic missile from Iran struck Beersheba, Israel, prompting a medical response for 20 patients, including a critically ill 90-year-old woman.
Between Breath and Breakdown: Recognizing and Managing Respiratory Distress Before It Fails
There is a narrow transition between respiratory distress and respiratory failure in prehospital care.
Bubble Trouble in the Back of the Bus: Why Prehospital CPAP Cannot Pop Hypercapnia
An evidence-based look at why prehospital CPAP cannot lower PaCO₂ and when bilevel ventilation is the better choice for medics.
The Airway Arms Race: Are We Intubating to Impress or to Save?
Airway success isn’t about complexity, it’s about appropriateness. Here’s why EMS must rethink intubation culture.
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